Bilateral pain relief after unilateral thoracic percutaneous sympathectomy

Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie
Michael Gofeld, Gil Faclier

Abstract

To present a case of unexpected bilateral pain relief following unilateral thoracic percutaneous sympathectomy. We present a case report where severe ischemic pain due to paraneoplastic Raynaud's syndrome with distal gangrene was successfully treated by means of percutaneous thoracic sympathectomy. A unilateral T2, T3 radiofrequency sympathectomy combined with small volume phenol injection resulted in unexpected bilateral pain relief. Our observations from this case report suggest a possible crossover of sympathetic innervation at the cervical and thoracic levels. Percutanenous thoracic radiofrequency sympathectomy is a feasible option for the treatment of refractory ischemic upper limb pain.

References

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Citations

Apr 27, 2013·Journal of Vascular Surgery·Gregory J Landry
Nov 3, 2009·Seminars in Arthritis and Rheumatism·Amy Wasserman, Ernest Brahn
Jun 5, 2012·Biomedical Papers of the Medical Faculty of the University Palacký, Olomouc, Czechoslovakia·Tomas GabrhelikPavel Michalek
Jan 13, 2021·Pain and Therapy·Nicholas A ZachariasAlaa Abd-Elsayed

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